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<br /> �PERMIT APP,L2CATION .
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<br /> Concrete (min. 6'� Y N
<br /> �Asphalt�Base(min. 6'� Y "N
<br /> Asphalt(min.:i�/z'� Y �N
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<br /> Length (min.79� Y
<br /> Width (10'min—.ZO'max) Y
<br /> Existing sidewalk. Y
<br /> New sidewalk. Y
<br /> ADA com Iiant. Y
<br /> � Fxpansion materia( required. Y �
<br /> Cor►tiguaus parking pad. Y
<br /> Triangularflare(3`W x 7'L) Y N -
<br /> Visibifity triangle o.k.? � , �
<br /> Side set back(3'min. R.O.W.) Y N
<br /> Plan Review Fee
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<br /> Perrnit appl'catian approved by: Date:
<br /> Page 3 of 3
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